Quadrigeminal cistern lipoma with occipital encephalocele

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Headache

Patient Data

Age: 20 years
Gender: Male

Small lesion following fat signal intensity, measuring approx. 5.5 x 6.3 mm in the quadrigeminal cistern, abutting inferior aspects of the tectum. Focal protrusion of the right occipital lobe cortex is seen into the right transverse sinus without any associated edema / signal abnormality.

Case Discussion

Findings are consistent with quadrigeminal cistern lipoma with occipital encephalocele. Both are likely incidental findings with insignificant clinical relevance.

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